Friday, December 12, 2014

Eliminating MAWD

Eliminating the Medical Assistance for Workers with Disabilities (MAWD) program
in January 2015 is projected to generate $7.2 million in savings. Current MAWD recipients with income under 133 percent FPL would be transferred to the new Private Coverage Option; MAWD recipients over 133 percent FPL would be encouraged to apply for coverage and subsidies through the federal Marketplace at HealthCare.gov. MAWD recipients with other Minimal Essential Coverage—such as Medicare—will not qualify for Premium Tax Credits and Cost-Sharing Subsidies through the Marketplace..


The root of all corruption begins with civil service implementation of state and federal monies. Mark Felt taught us that, the man  whom Pat Buchanan characterized as a bagman for Hoover no less, our favorite poseur for being secretly gay and black. Hilarious, these Cold War conspiratorial overtones. My rage is deeper and smarter than I may have made succinct when it comes to centers like Liberty, their umbilical cords tied to the uterus of spend down to the lowest common denominator. Service providers like Liberty, without the federal mandate perhaps, bid on a very limited allocation of the state budget to decentralize nursing care. When Liberty wins said bid they are flush, when they lose said bid they get sued except for those like myself whom they drive to a near breakdown. Linda knew how this mysterious process worked. She was a good task master at ngo sleight of hand: excess revenue, or budget shortfall, and in concrete terms it simply doesn't work. Paul Krugman is absolutely correct that the country is a complex matrix of socialized medicine with a complex matrix of market entrepreneurship, but the prodigiously read militant economist rarely looks at the details of our rationed welfare state. The applications for Paratransit services that blossom into contracts with rehabilitation hospitals to curtail usage for those with power chairs purchased by Medicare, or elderly people with canes. The hospital gets the contract. People with mobility issues get restrictions because the tax burden would otherwise be astronomical. What does this to the freedom of people with chronic conditions who want to make their own choices?

I rarely utter Widener University's name, but this is where my ambitions were nurtured and ultimately dashed to bits. Neither Jerry McGuire nor Michael C Clark nor David Ward would know that de-institutionalization would mean I was supposed to provide an income of 15,000 dollars a year to stupid people who could not afford college or dream of a white collar career, training constantly my whole life after brutal surgeries to  be independent, falling on the sword of my life long stress incontinence, badgered to death because I am not tidy enough for nominal Christians, persecuted because I did not deliver upon obtaining degree, due to what? Poor choices, strenuous travel, emotional investment in authority figures, hoping journalism would be a late life rescue when the field has its own miasma of cannibalistic silliness cluttered around events coverage. Disability centers have no real world rationale to exist. All they do is pick up the slack for people who could never dare Silicon Valley and win, like Chris Hughes.

What Dana and Marty cannot say I will: the battle with Hughes over the demise of TNR at its best is a battle between metrosexual counter culture and old world masculine assertiveness. The very fact that Hughes struck out at Marty's staff by citing Voltaire, and Dana struck back with choice descriptions of Hughes as a dilettante and a fraud evinces the rift. Homosexuality lends itself to deceptive subversion in as much as secular liberalism suppresses the truth for a mirage of utopian well being.

I want to be left alone, do my damn laundry and cleaning when I please, and in short order I will no longer be able to make these decisions for myself, and this feeds my post-50 year old bitterness, after a life of hell being butchered into an image of ambulatory correction. The beat goes on.

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